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General NPI Number Information
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NPI Number | 1619033941
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Entity Type | Organization
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Legal Business Name | GEAR & YAVORSKY D.D.S. P.A.
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6323 CORPORATE CT SUITE A
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City | FORT MYERS
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State | FL
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Zip | 33919-3506
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Country | US
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Telephone | 239-482-5311
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Fax | 239-482-8531
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Provider Business Mailing Address
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Address Line | 6323 CORPORATE CT SUITE A
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City | FORT MYERS
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State | FL
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Zip | 33919-3506
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Country | US
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Telephone | 239-482-5311
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Fax | 239-482-8531
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | DR. ROBERT DALE GEAR SR.
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Credential | D.D.S.
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Telephone | 239-482-5311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State | FL
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